Articles on puberty

Don’t Let Stretch Marks Bother You

Dr. Harikiran Chekuri
Know about those streaks or stripe like marks that keep on bothering you? Yes, you are right, those are the stretch marks. Not dangerous but obviously ugly enough to make you keep them out of other’s sight.There are many reasons behind these marks; they are pregnancy, weight gain or loss, puberty. Any factor that makes your skin stretch to that extent when the dermal collagen of your skin gets ruptured, may be behind these ugly marks.Pregnancy Stretch Marks - Becoming a mom brings a lot of happiness in a woman’s life. But it also brings some ugly marks alongside, that can mull your happiness to some extent. Stretch Marks – the greatest fear of a woman during her pregnancy. Creams and oils are of no great help. These marks are to some extent unavoidable during pregnancy. They give you another good reason to slip into covered dresses and stay away from those that might reveal your tummy. They are just never meant to go.Weight-Related Stretch Marks - Alteration in your weight may give you stretch marks as well. These marks are not only restricted to women. Even men who are into bodybuilding or rigorous physical exercise may see stretch marks visible on their shoulders, back, thighs or other areas of their body.Puberty Related Stretch Marks - Puberty is all about growth and development. Our body grows during puberty often leading to stretch marks that are very difficult to get rid of.Getting Rid Of Stretch Marks - If you really want to get out of your drapes and slip once again into halter tops, sleeveless dresses and short tops, it’s time that you get rid of these marks. Yes, you can get it of these stretch marks effectively and permanently with the help of Carboxytherapy. It is a procedure that uses Carbon Dioxide to rebuild the ruptured collagen in the stretched area of your skin and minimize the visibility of marks.The Carboxytherapy does not involve scarring and can be applied on all types of skin. It has no side effects or recovery time and consumes very less time. Just 30 minutes per session can help you get back you smooth and marks free skin. It generally requires 6 to 12 sessions depending upon the extent of the marks on your body.However, it must be kept in mind that Carboxytherapy is a specialized procedure and requires expert handling. So, do a little research to find out the best clinics in town, known for handling the procedure with perfection.

Prominent Causes of Gynecomastia

Dr. Harikiran Chekuri
Women love having fuller and larger breasts but the same can be detrimental when it comes to men. Larger breasts in men are often referred to as Gynecomastia or man boobs. Heavy breasted men are often ridiculed or made fun of. This is enough to shatter their self-confidence and compel them to seek seclusion.According to estimation according to 60% of men suffer from gynecomastia. This ailment is identified by a lumpy mass under one or both nipples or development of excessively large and pendulous breasts in men.Living with gynecomastia is not easy. Men suffering from this disorder revert from going top-less publicly. They avoid occasions or activities, like swimming or working out in a gym where they either have to reveal their bare body or get into a tight outfit.However, though gynecomastia can be effectively cured with plastic surgery but before that, we need to clearly understand the reasons behind it happening. Here are the most prominent causes behind gynecomastia.Age - It is the most common reason behind man boobs. When you age, your skin tends to get loose. This can make your boobs appear sagging and pendulous. Moreover, it may also happen due to hormonal imbalance that is common with age.Alcohol – Excessive alcohol can not only damage your liver but also alter the way your body metabolise hormones. This may lead to gynecomastia. Some other ailments that cause the alternation in hormones and result in gynecomastia are kidney disorders, thyroids problem and malnutrition.Cancer - Hormonal imbalance resulting from cancer can also cause gynecomastia. People suffering from testicle and lung cancers are generally found to have enlarged man boobs. Benign pituitary tumour known as prolactinoma may also be among one of the causes.Drugs - The drugs for curing high blood pressure and ulcers may lead to the enlargement of breasts in men. Moreover, some anti-depressants and even antibiotics may also promote the growth of large breasts in men. Some natural and ayurvedic products containing tee tree oil and lavender oil, which are common ingredients in soaps and shampoos are also identified as the trouble makers.Obesity - Overweight men tend to develop excess fat on their chest. The excessive fat accumulation on the chest also causes hormonal imbalance in the body leading to the growth of the breast tissues. Most overweight men seem to intentionally grow large bellies to divert the onlooker’s attention off their heavy breasts.Puberty - Boys tend to have swelled up breast tissues during their puberty. Often the doctors advice to keep a watchful eye. In most cases the problem gets solved with time. However, for those that don’t, treatment might be needed.Body-building steroids - Some body-building steroids that are used to develop muscles also interfere with the estrogen inside the body and make the breast tissues swell up.Pre-birth – Unborn babies develop breast tissue when they are in their mother’s womb. Male babies, exposed to higher level of estrogen in the womb might develop larger boobs. However, in most cases the growth subdues with time.Before you go for the treatment of gynacomastia, you need to know the causes behind it. If you are suffering from the problem, get in touch with your doctor and seek a solution.To know more about Gynacomastia or man boobs :- visit

Homeopathy Treatment for Acne or Pimples

Dr. Rangadhar Satapathy, Homeopath
Acne is a skin condition that causes white heads, black heads, and inflamed red lesions (papules, pustules, and cysts) to form. These growths are commonly called pimples. Acne occurs when tiny holes on the surface of the skin, called pores,become clogged. Each pore is an opening to a canal called a follicle, which contains a hair and an oil gland. Normally, the oil glands help keep the skin lubricated. When glands produce too much oil, the pores can become blocked,accumulating dirt, debris, and bacteria. The blockage is called a plug or comedoneCAUSES & CONTRIBUTING FACTORSNormal Follicles:Sebum produced by the sebaceous gland combines with cells being sloughed off within the hair follicle and "fillsup" the hair follicle. When the follicle is "full", the sebum spreads over the skin surface giving the skin an oily appearance.Obstructed FolliclesWhen the sebum is trapped in the hair follicle causes plugging up the follicle. The process of obstructing follicles is called comedogenesis. It causes some follicles to form a type of acne called comedones, also known as blackheads and whiteheads.Propioni bacteriumacne:Propioni bacterium acne is a bacterium that lives on your skin and uses the sebum as nutrients for his growth. The sebaceous glands are hypersensitive to androgens that causes enlarge of gland and more sebum secretion. In puberty the androgens hormone is secreted more and thus there is more sebum secretion and more Propionibacterium acne in the follicle. The presence of P.acne attracts WBC to the follicle and thus an inflammatory reaction is settled up.No one factor causes acne. Several factors can contribute to the cause of acneChanging Hormone LevelsFor most people with acne, it begins at puberty. This is when the body starts to produce hormones called androgens. Androgens cause the enlargement and over stimulation of the sebaceous glands.Sensitivity to these androgens also cause acne to appear during the menstrual cycle and sometimes in pregnancy. Starting or stopping birth control pills can also cause acne.StressSevere or prolonged emotional tension and stress may aggravate the Acne condition. Stress cause the production of hormones, such as cortisol, which can aggravate acne.Drugs:Some medications may cause acne, such as anti convulstant drugs, lithium, bromides, or oral or injected steroids. Most cases of acne, however, are not drug related.Skin Care ProductsSome cosmetics and skin-care products are pore clogging. The skin care products which have the ingredients of ‘waterbased’ are usually safe.PATHOGENESIS OF ACNEThereare 4 basic factors involved in the development of acne.Acne arises due to blockage of follicles, the sebaceous follicles which are found in the face, neck, chest,and/or back. In acne patients, the sebaceous glands attached to these follicles secrete excessive amounts of sebum. It has been shown that the sebaceous glands in acne patients tend to be hyper responsive to androgens, which are first released in the pre-pubertal period. Thus, these patients produce more sebum than is normal; this excessive secretion is a necessary prerequisite for the onset of acne.Second, the epithelial cells (keratinous squamous cells) lining of inner most layer of the follicles undergo abnormal desquamation. The cause why it happens is unknown. Normally, keratinous squamous cells are loosely organized in normal follicle, but they become denser and more coherent as a result of abnormal desquamation. The combination of abnormally desquamated cells and excessive sebum forms a “plug,” or microcomedo — the precursor lesion of both non inflammatory comedones and inflammatory lesions.Third, the propionibacterium acne is a bacterium that lives on your skin and uses the sebum as nutrients for his growth. The sebaceous glands are hypersensitive to androgens that causes enlarge of gland and more sebum secretion. In puberty the androgens hormone is secreted more and thus there is more sebum secretion and more Propionibacterium acne in the follicle. The presence of P.acne attracts WBC to the follicle and thus an inflammatory reaction is settled upFourth, P acnes produces pro-inflammatory mediators and chemotactic factors that can cause microcomedones to inflame and evolve into papules, pustules, and nodules.HOW HOMEOPATHY HELPSA proper homeopathy treatment reduces the hypersensitivity of sebaceous gland to androgen hormone so helps to maintain a normal secretion of sebum. That prevents the acne formation.Homeopathyremedies have anti inflammatory effect and accelerate the healing process ininflamed acne conditions.Pro pionibacterium acne is a frequent cause of bacterial keratitis and may cause propionibacterium acne keratitis. Homeopathy remedies treats successfully to the P.acne keratitiscondition.Homeopathy treatment controls the scar formation.A constitutional homeopathy treatment not only treats the acne condition but also treats the whole patients as a whole.

Do You Know What Makes You Prone to Acne?

Dr. Shivashankar B. Sajjanshetty, Dermatologist
Acne is a disorder which is characterized by small red bumps on the skin or occluded pores in the skin such as blackheads. It can make people conscious of their appearance and result in low self-esteem and anxiety. It usually affects people who fall in the age group of 12-25, but sometimes older people also get affected.There are various factors that makes the skin prone to acne. Acne occurs when overactive sebaceous glands (glands that produce oil in the skin) produce excess oil and the dead skin cells clog the pores of the hair follicle present in the skin. Inflammation occurs in the clogged hair follicle resulting in acne.Some causes that makes your skin prone to acne are:Diet: Following a proper diet is a key factor in keeping your skin healthy. Food usually doesn't cause acne directly but can cause other problems such as greasy skin that are linked with acne. However, foods high in iodides such as seaweeds consumed over time can cause acne. Stress: Stress is another major cause that makes your skin prone to acne. When the body is stressed, it produces excessive testosterone (a sex hormone) resulting in excessive oil production. Stress also impairs the immune system of the body so that it becomes vulnerable to acne. Cosmetics: Some cosmetics (usually oil based) tend to clog the pores of the skin which may result in acne. Using harsh cleansing agents can dry and irritate the skin. Also, gentle washing of the skin is recommended to avoid breakouts. Hormones: Changes in hormonal balance can cause acne especially in the beginning of puberty. In some cases, women are affected by acne when the menstrual cycle stops. The acne caused by hormonal changes may also be genetic in nature.

The Unhealthy Secret Behind Soya

Neelam Nath
Soy products are a rich source of proteins with minimal fats or no fats if steam cooked. Soy milk is given to persons suffering from chronic gastric complaints like indigestion or aversion to normal milk available. Our markets are full of fancy soy milks with no flavors and minimal fats but lots of added proteins, also these milks are available in 200 ml packs for kids and adolescents with different kinds of flavors. Soy products lead to increase in production of feminising hormone called estrogen & it can lead to early puberty in girls as old as 8-10 and development of breasts in males along with a delayed puberty in boys.During Perimenopausal days, 4-5 years before and after menopause, there is physiological decline in hormones including estrogens in every woman We can call it a midlife crisis in every woman during 40-50 years but she wants to live healthy for another 50 years.If she consumes extra Soy products like chunks/ granules, soy milk for less fat and more proteins, her levels of estrogens will never go down and she will continue with spotting off and on, confusing the treating doctors about reasons for bleeding as every other test like ultrasound and biopsy of uterus are normal except for high levels of estrogens in the blood.Estrogens are protective to the heart but one has to create a balance between normal physiological changes at 50 and protect the heart by other means.Do take soy products as vegetarian protein but moderation is the mantra.

PCOS Is More Than a Hormonal Disorder

Dr. Neelam Nath Bhatia, General Physician
PCOS-Poly Cystic Ovarian Syndrome or POCD-Polycystic Ovarian Disease means presence of tiny water filled balloons on the ovaries. Ovaries have developing follicles in women from puberty to menopause. A baby girl is borne with a numbers of them but they start maturing at puberty, few per cycle. Not every egg she is carrying gets ripe in each cycle & this is the way the capability of reproducing is protected in a woman.Few follicles develop & rupture per cycle, egg is released which travels towards uterus for implantation. Uterus has made arrangements to receive the mature egg for conception. In case no conception takes place, the lining is shed for 5 days in the form of periods.The size of follicles in Indian women is about 20 mm or 2 cms but some women may do have a size larger than this but it is never more than 2.5 cms.What is a Cyst? Cyst is a balloon with clear water like transparent substance.If Cysts are present in ovaries , it is a disease or a Lifestyle Disorder?Cyst in ovaries can be a big follicle that did not rupture on day 14- Ovulation time or it can be due to other reasons not known to us,  but the affected woman gets diagnosed by an Ultrasound.She has symptoms of irregular periods, delayed cycles with less blood and obesity, acne on face, black patches here and there, hair loss, hirsutism (hair on face), risk of getting type 2 diabetes and heart disease, thyroid disease being on the low side and infertility / and if she conceives risk of a complicated pregnancy with high BP, swellings and pre eclamptic changes.Her blood levels are high  for SteroidsTestosterone hormoneFollicle stimulating hormoneFasting blood sugar is high but herHDL-the good cholesterol is low CRP-C reactive protein is high-it is an indicator of inflammation and infection Anywhere in the body.Doctors usually prescribe a 21 day course of low hormone oral contraceptive pills, even to young girls who do not need it to prevent conception. Metformin medicine given to Type 2 Diabetics is also prescribed.But OCs / Hormone therapy does carry side effects like making periods more irregular than before, break through bleeding, weight gain, nausea, mood swings among others. PCOS can also be considered a lifestyle disorder:Correct it by modifying lifestyle byReduce the weight by taking no sugar, minimal salt, no bad fats like burgers, pizzas and street food, packed food rich in salt and fats as salt is a preservative and fats add to the taste.Do yoga and meditation Reduce stress but do enjoy the fruitful result oriented stress as it boosts the good cholesterol, Exercise regularly but according to constitution and tolerance.Eat as much as possible-every seasonalfruits and vegetables, at least 5 types with 5 different colours.Even borderline low thyroid becomes normal without giving extra thyroid hormones as tablets (eltroxin has lots of side effects like palpitations and high end personality who wants to be always on the go!)Take a glass of warm water with juice oflemon + a spoon of honey added to it, every day in the morning on emptystomach. This helps to reduce weight, bring down levels of blood sugar andcholesterol.Apple cider vinegar if taken with juice/water /honey helps also.Treat PCOD minus hormones & sugar lowering medicine metformin

Hormones in Sex

Dr. Ramesh Maheshwari, Sexologist
In regard to sex and reproduction the most important endocrine glands are pituitary gland and the gonads or sex glands –Testes in male and ovaries in female. The anterior pituitary gland secretes two gonadotropic hormones:Follicle stimulating  Hormone (FSH) and Luteinizing hormone (LH).They play major roles in the function of male and female function. During pregnancy placenta secretes human chorionic gonadotropic hormone that has the same property as LH. This hormone stimulates the interstitial cells of fetal testis and  produces testosterone which promotes formation of male sexual organs. No testosterone is produced during childhood until the age of 10 to 13 years and lasts throughout life. On stimulation by LH from anterior pituitary, Testosterone is produced by the interstitial cells  of Leydig in the testes. FSH from anterior pituitary stimulates conversion of primary spermatocytes into secondary spermatocytes in the seminiferous tubules of testis. However, for complete formation of spermatozoa testosterone is needed. Thus FSH iniates proliferative process of spermatogenesis and testosterone does final maturation of spermatozoa. Testosterone secretion, after puberty, causes the penis, scrotum and testis to enlarge until the age of 20. Testosterone causes secondary sex characteristics of the male. In female, the anterior  pituitary produces gonadotropic hormones FSH and LH which act on ovaries and produce estrogen and progesterone. During the reproductive years there is monthly rhythmic changes in the rate of section of female hormones and as menstrual cycle, is of 28 days.Variation from   20 days to 36 days is taken as normal. At the age of about 8, the anterior pituitary begins secreting gonadotropic hormones, FSH & LH. These act on the ovaries. One of the follicles grows and ovulation takes place on the 14th day (counting from the first day of menstruation). During the growth of the follicle, estrogen is secreted. Following ovulation, the follicle develops into corpus luteum degenerates. The ovarian hormones, estrogen and progesterone decrease greatly and menstruation begins. Estrogen is responsible for secondary sex characters of the female. Progesterone is concerned with final preparation of uterus for pregnancy and the breasts for lactation. Male’s capacity to be stimulated sexually shows a marked increase  with the approach of adolescence. The frequencies of response to the point of orgasm reach the peak within three or four years after the onset of adolescence. Frequencies of sexual response in the male begin to decline after early thirties and drop steadily into old age. Among females, the median frequencies of sexual activities remain constant from late teens into the fifties and sixties. In maximum incidences of sexual response are not approached until some time late twenties and thirties. Individuals who are physically exhausted or in ill health are not easily aroused sexually if aroused they may not be capable of effective action and may fail reach orgasm. Estrogen occurs in equal amount in pre-adolescent female and male. But at the time of adolescence, estrogen increases abruptly in female. At the onset of adolescence there is no upsurge of sexual activities in the female. It is the male who suddenly becomes sexually active at adolescences. Androgen are found in both males and females. Adrenal glands also produce androgens. In preadolescence, the androgen levels begin to rise more markedly in the male. There is sudden upsurge of sexual  responsiveness and sexual activity are among males. In females, the levels of sexual  response and sexual activity are much lower than the levels in the males.When Testosterone is given to normal male, there is increase in frequency of morning erection, the frequency of erotic response to various stimuli and the frequency of masturbation. Testosterone is also used to increase the low rate of coitus which results in infertility. Sperm count also may increase by administration of Testosterone. However, indiscriminate use of testosterone may involve some danger like inhibited pituitary function and damage to the gonads. It may accelerate malignancy of prostate. Serum prostatic specific antigen estimation and  a digital examination of prostate are mandatory prior to administration of Testosterone. Both, androgen occur simultaneously in both the female and male bodies. There is a theory that estrogens counteract the effectiveness of androgens. Some clinicians use estrogen in effort to reduce the levels of responsiveness of males convicted as sex offenders. Though estrogens reduce the amount of androgens, the use of estrogens to lower sexual responses is debated. The adrenal cortex produces androgens and estrogens in both the males and females . In menopause when the estrogen level falls, the androgen produced by the adrenal glands is responsible for the growth of hair on the face females. Similarly, When the level of androgen falls in elderly males, the estrogen from the adrenal glands dominate and produce enlargement of breasts in the males. Hormonal levels may affect the intensity and frequency of response, the frequency of sexual activity , but there is no relationship between the hormone and individual response to particular sort of psychological stimuli. There is no evidence to prove that the patterns of sexual behavior can be modified by hormone therapy.

Pimples Are Not Always Simple!

Dr. Rajdeep, Dermatologist
Ever wondered why those annoying pimples keep popping up from the time you are a teen, well into your 30's. You regularly wash your face with all sorts of face washes, apply face packs and several gels and creams available over the counter. Your aunt says haldi (turmeric), your mom says malai (milk cream), your grandma says basan (gram) flour with malai and yet they keep coming back. You squeeze it, you pick it, you rub it and you wash your face 5 times a day! Pimples or Acne are disorders of oil producing glands of your body known as sebaceous glands.  The 1st stage is when the opening of the gland gets blocked leading to accumulation of the oily or cheesy material called sebum. This leads to what we commonly call as black heads and white heads. Black heads are due to oxidation of sebum which makes it black and white heads are due to completely blocked sebaceous glands with the white sebum inside. The 2nd stage is when the secretions collect so much that they cause oxidative damage to the oil glands and cause a reaction which appears as red pimples. The 3rd stage is when these pimples get infected with a bacteria known as Propionibacterium acnes. This leads to formation of pus filled pimples which can be quite painful. The 4th stage is the formation of large boils which are painful and filled with pus and are many times hot and tender. This is called nodulocystic acne. The 3rd and 4th stages often leave behind permanent scars on the skin and also lead to pain and discomfort. These glands are sensitive to various hormones in your body, mainly what are known as Androgens (Male hormones), yes females have them too! These glands swell up under the influence of these hormones and hence tend to occur at the time of puberty or sexual maturity. What can you do to control your acne? Simple measures like a healthy diet, avoiding fatty food, avoiding milk and dairy products, exercise and plenty of water will help those with mild acne. Oil controlling face washes and water based moisturizing creams or gels will also help. If your face is studded with multiple black heads and white heads, it can be removed by a simple procedure done at a dermatologist's clinic. Recurring acne will require a detailed history of underlying hormonal disorders and sometimes a blood checkup for hormonal or other abnormalities. If there are lot of pus filled pimples they will require antibiotic creams/gels/ tablets. The choice of antibiotic often depends on the accompanying medicines, age of the patient and tolerability. In those who want to avoid tablets, procedures like chemical peels and IPL (Intense pulsed light) can be performed. These procedures can also be performed on patients who desire quicker results and an overall improvement in the quality of their skin. Other medicines like retinoids (Vitamin A derivatives) form the backbone of Acne treatment. You must always remember that Acne is a chronic disorder and there will be flares and remissions. Our goal is to provide long term solutions with minimal undesirable effects keeping in mind age of the patient, grade of acne and duration of acne.  Often Acne is associated with hormonal disorders like PCOS (Polycystic ovarian syndrome) and infertility in women. It such cases it can lead to hair loss, unwanted facial hair, darkening of skin on body folds and skin tags. These cases warrant a through investigation and treatment from a gynaecologist as well as these can be associated with infertility.

Acne (Pimples)

Dr. Salim Khan. , Homeopath
Acne is an inflammatory disease of sebaceous (oil) glands. During puberty, sex hormones speed up the secretion of oil from these glands. Problems begin where there is a build-up of oil in the narrow gland openings or drainage passages in the skin. It is,therefore, important that the perspiration and other coatings clogging the skin pores be washed off. Acne should not be squeezed as it leads to inflammation and scarring.FOUR MAIN TYPES OF ACNE ARE:White Heads: Round white blemishes that form when hair follicles become clogged.Black Heads: Round, dark blemishes that form when white heads reach the skin's surface and touch air.Pimples Red, swollen bumps that form when plugged follicle walls break near the skin's surface.Deep Cysts: Pimples filled with pus that form when plugged follicle walls break deep within the skin.CAUSES AND RISK FACTORS OF ACNE: Acne is a skin condition that occurs when hair follicles become plugged with oil and dead skin cells.Androgen Level: Androgen level rise when a human becomes an adolescent. Rising androgen levels make the oil glands under your skin grow; the enlarged gland produces more oil.Excessive sebum can break down cellular walls in your pores, causing bacteria to grow.Genetic Factors: Some studies indicate that a susceptibility to acne could also be genetic.Medication: Some medications that contain androgen and lithium may cause acne. Greasy cosmetics may cause acne in some susceptible people.Pregnancy: Hormone changes during pregnancy may cause acne.Bacteria: Recent research narrates that everyone has acne causing bacteria living on their skin, but researchers at the Washington University School of medicine have identified that there are some "good" and "bad" strains of the bacteria, which determine the frequency and severity of developing pimples.HIGH GI-Diet and diary intake linked to acne: A diet high in glycemic index foods and dairy products is now linked to acne.GENERALIZED  MANAGEMENTWash twice a day and after sweating. Perspiration, especially when wearing a hat or helmet, can make acne worse, so skin should be washed as soon as possible after sweating.Use fingertips to apply a gentle,non-abrasive cleanser. Using a wash cloth, mesh sponge or anything else can irritate the skin.Be gentle with the skin.Use gentle products, such as those that are alcohol-free. Do not use products that irritate skin, which may astringents, toners and exfoliates. Dry, red skin makes acne appear worse.Scrubbing of skin can make acne worse. Avoid the temptation to scrub the skin.Rinse with lukewarm waterShampoo regularly. Oily hair should be washed daily.Let skin heal naturally. Picking, popping or squeezing of acne takes longer to clear and increases the risk of getting acne scars.Keep hands off the face. Touching skin throughout the day can cause flare-up.Stay out of the sun and tanning beds.HOMEOPATHIC MANAGEMENT:Homeopathy treats the person as a whole. It means that homeopathic treatment focuses on the patients as person, as well as his pathological conditions.The homeopathic medicine are selected after a full individualizing examination and case analysis, which includes the medical history of the patient, physical and mental constitution etc.Some homeopathic medicines:ASTERIA RUBENSBELLADONNASULPHURKALI BROANT CRUDNAT MURHEPAR SULPMER SOL

Acne/pimples - Homeopathy Treatment Helps for Pimples / Acne

Dr. D.Senthil Kumar, Homeopath
Question: Respected doctor, I am 26 years old unmarried girl, suffering with pimples for last 5 years, I have taken many treatments but no effect. Why do pimples occur? Is there any treatment in Homeopathy system of medicines?Doctor Answer: Hi Dear, No worries, Homeopathy treatment is helpful. Please find the complete details about acne – pimples below.Acne/Pimples• Acne/Pimples is more common in the age group of 13 - 30 years • But it may occur or persist even beyond this age limit. • Males are more frequently affected than females due to androgen activity.• Females may get a pre-menstrual flare due to the increase in level of a hormone calledProgesterone.What is inside the Acne/PimplesThe skin has minute glands called sebaceous glands which open into the hair follicle. These glands secrete an oily substance called sebum, which empties into the skin surface through the hair follicle. During puberty, the male sex hormones which are normally present both in males and females are on the rise and they activate the sebaceous glands to increase in size, which in turn leads to increase in the secretion of sebum. Secondly, the cells are shed more rapidly and they stick together, plugging the opening of the hair follicle, resulting in 'white heads'. The pigment melanin in the whiteheads when exposed to air, forms black heads. Thirdly, bacteria especially the' propionibacterium acne' in number and add to the formation of acne. When the follicle gets clogged, its wall ruptures. The sebum, bacteria and dead cells escape into the surrounding tissue and lead to formation of more severe form of acne in form of pustules, nodules, abscesses and cysts.Reasons for formation of acne?Acne commonly occurs in people who are genetically predisposed.•  Use of cosmetics such as creams, oil based moisturizers, oil based foundations can cause acne.• Application of heavy oil or gel on the scalp leads to pimples on the back and forehead. • People who work in chemical or oil industries and come in contact with hydrocarbons, heavy oils, and cutting oil, wax, and grease and coal tar derivatives can develop acne. • People working in hot and humid climate can develop acne. • Drugs such as oral contraceptives, steroids, isoniazid, lithium, phenytoin, iodides etc., can cause pimples. • Squeezing or picking at a pre-existing lesion will lead to secondary infection and increased pigmentation. • Stress will exacerbate acne. • Finally, if acne persists in spite of medical treatment or if the patient has other features such as hair loss, an endocrine disorder must be considered and investigations carried out accordingly.What I wants to Do’s and Dont's with acne?1.Wash your face with a mild soap or cold water at least 3-4 times a day. 2. Increase the intake of citrus fruits such as oranges, grapes, lime and lemon and other food stuff which are high in vitamin C and zinc. 3. Drink plenty of water. 4. Do not pick or squeeze the pimples as this causes infection, pigmentation and scarring. 5. Avoid the use of oily cosmetics, cleansing milk and gels. 6. Do not apply excessive hair oil if you have acne over the forehead. 7. Avoid stress factors. 8. Be patient and give medicines some time to act.TreatmentHomeopathic Medicines act very well without any side-effect  For Acne and Pimples, and also as an anti-ageing catalyst.